4930 Sycamore Dr Addtess 493G Svcamore Drive Zip 5512 z
Lot 8 Blk 2 Sub Pinetree Forest
THESE 1TEMS WERE / WERE NOT COMPLE'TE AT THE TIME OF THE FINAL INSPECfION.
Date: ~ 3_ q q Yes No Inspector: -
Final grade (6" from siding) v
Pettnanent steps (gazage)
Permanent steps (main entry)
Permanent driveway
Permanent gas
Sod/Seeded grass l/
TraiU~ucb damage
Porch ?
Basement finish ~j'
Deck
Please ve ~'[y with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to
the outside Iawn faucet before freeze poten6al exists.
Contad engineering division at 681-4645 before working in rightof-way or installing underground sprinkler system. ~
White - Ciry Copy Yellow - Resident Copy Pink - Contractor Copy
~ ~ ~ ~ 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) 3~ ~ /
, . CITY OF EAGAN n(~~
3830 PII,OT KNOB RD - 65122 C4. X~,~~ ~j .°1~
(651) 681-46Tb
New Construction Reauirements RemodeVReoair Reauirements
• 3 registered site surveys ? 2 copies of p~an
• 2 wpies af plans ~includa beam & window sizes; poured fid. design; etc.) • 1 site surveys (e:le~or atldkions 8 dedcs)
? 1 enargy wlculations ? 1 energy plculations for heated eddRiona
? 3 copies of tree preservation plan if lot platted aRer 7/1193
required: _ Yes _ No
DATE: - ~ 1~'I CONSTRUCTION COST: ~C i.C~~-<-'
'
DESCRIPTION OF WORK: Iv~.~-- ~`~~~~~~~I-~"~cC{ ~
STREET ADDRESS: ^t~ l~C~ ;('.(A i i~(, ~Z (,i" ~ l;.
J /
il 7 ~
LOT: r ~ BLOCK: SUBDJP.I.D. ~ 1 ;''C: ~ ~ i~(~r
Name: Phone
PROPERTY Lut First
OWNER
Street Address:
City State: Zip:
Company: ~ l~t t,ll~ ~ f(_ I i~~j~ . Phone ~L-~~ 1 L~`~ c~ ~ J%
CONTRACTOR r~ i , , i
StreetAddress: hi~~~>~i~ ~I,~~~u Licenselt~~:~'t-~ ~~Exp._~~ ~I~~~t`'~~'~
J
Ciry ~ 1 ' ~ i ~ ~l_ --t ~ ~ C1i 1 { S SCate: ~ Zip: i" %
~
ARCHITECT/
P Y~ ~~~~U1~'~~ ~ PhonelF: ~i~~~..C~c~_~-~"~~~~
ENGINEER Com an
--~-~-r~---
Name: 7`T~'"2-~~rptr;r-Tr-c~~, Registratio~#:
~ StreetAddress: _J`~ ~~I~~~~! ~~l
City ~ C(C,r[,C~"f State: ~~~~1~ zip: ~J` ~
J
Sewer & water licensed plumber (new construction only): %/~ll c i il ~~lj . penalty appiies when address
change and lot change is requested once permit is issued.
I hereby acknowledge that I have read this appiication, state that the information is correct, and agree to comply with ail applicable
State of Minnesota Statutes and City of Eagan Ordinances.
~
SignatureofApplicant: ~ ~J. ~lli'--'~~-`-i~-
i: :
OFFICE USE ONLY
~ /
Certificates of Survey Received ~ Yes _ No
- _
Tree Preservation Plan Received ~ Yes _ No _ Not Required ~
OFFICE USE ONLY
, ,
BUILDING PERMIT TYPE .
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
1~02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool
? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility
? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous
? 05 SF Misc. ? 10 _-plex ? 15 Deck
WORK TYPE
31 New ? 33 Alterations ? 36 Move
? 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual) 5~~ Basement sq. ft. l I 2~ Census Code 1° 1
(Allowable) S~ r~7- Main level sq. ft. I I'S ~i SAC Code
UBC Occupancy -,~3 _ 2`Du~ sq. ft. 10~ Census Units
Zoning _[Z-~_ C~h2a{~sq. ft. SS`~! Census Bldg
# of Stories ~6tzGt-~ sq. ft. l G Z MC/ES System
Length SS' sq. ft. Gity Water
Width Footprint sq. ft. 2l5'1 Baoster Pump
PRV
Fire Sprinklered
APPROVALS ,
Planning Building ~A Engineering . Variance
U
Permit Fee Valuation: $ ~~~1 14'~' ~
Surcharge
PlcenReview X f~S- = I L~BR b=~
MC/ES SAC ~ ~ 3~ x s-~
f= c~ 1, 3~14
City SAC ~
Water Conn. I a~~C S~ : ~7~ ~S'Z
Water Meter x~ y _ t oy ~ 74c{-
Acct. Deposit
S/W Permit -j-p.~-~ _ I~~ ~~q~
S/W Surcharge ~
Treatment PI.
Park Ded. -
T~ails Ded. ~
Other ~ ~ ~ /
Copies I ~~v`-r`'~'_' ) .
TotaL• ~ ~ ~
% SAC I ~r~~~~„ ~
SAC Units
: ~'9-` zag-
3. ENERGI' CODE WORKSFiEET FOR 1& 2 FAMILY DW-ELLINGS
:ITS AL'DRESS ~ . CITY
COMpLETEb HY: ~/L _ pI~pNB' ~ DATS
BUILDING CLASSIFZCATSON: ? categoiy 1(ataadard) or Qrcatagory 1(muat inalude ventilation)
132NIMUH CRZTHRIA
Foundation Inaulation-R10 Walla & Wiadowo
Rao£ Att1a Inaulation~
Slab on Grade Insulation-R10 ~See table on reverse side
for allowa6le percen[ages) R44-With Attic No ffael
Floor over unheated epacee-R24 R38-With Attic Raised lieel
Foundation Windows 1/2" R3B & RS-Solid Raftets
ineulated Clase.
-Wood or Vinyl Frama
ST6p 1 Window~& Door Area STBP 2 Calculate area ae a parcent oE wall
A. Total Window & Door AYea in Sq. Reet ~ ~
WIN?OWS (Including Foundation Windowe):
WINDOW MANUFACTURE NAMSs C. From Step 1 divide box A(illndow ~ Door
WINDOW MAi7UFACT(TRE TYPS: -~U~~ equalsbthe~window~and door area)aeiae~ 100
WINDOW MANIIPACTURB II PACTOR: .^~.y percenG of wall area (box C),
R• QuantiCy eq.fC.Area 80X A~ ~
Dimensions X 100 = C
Box B ~ ZS
~ ~ ~ x ~o -tN,r f
~ ^ /r -~g 7
ST6P 3 Deaign Featureu
-'~j X~" ~ 7 ( ASSEMBLY
! i 1 !
-.:9 X 7-~~' +^r PRAMII4G TYPB•
~ "~y X ~'"~A I STAPlDARD FRAMING ~ u
'%~N x~~~~; Yf etUde 16 o.c.
ADVANCED FRRMINa ntude 2g" o,c,
~ ~ ~ iJ,~ ~
~'~I X G- 1~ ~ CAVITY INSULATION ~t 1~
, ; X ~ r 33
I 9NHATHIlIdTYPH: ~
~ q ~
1~.J X r'/ rJ~ LESS THAN c R-5 `
I~ X l~F ~ ~ R-5 a OR MORE I
X U-FACTOR p
DOORS: Prom the table,
(reverse side) detarmine the
maximum percent window ~ door area for the
X deeign op[ione selected and enter the t valtie
~ ,1 ) /
i7 ' in Box D below based on the window mEg. U-
~ factor: ~ ,
~ X:~ r~ o ~D
1'otal Area of n-~j ~q,ft.
Windows & Doore ~T ' -
B. Total Wall Area in Sq. Ft. The } value from the Cable in Dox D ehall bn
eqi~al to or greatcr tl~an the } in Box C
Wall Total Height Area
Perimeter ~
5.~ p
_ z,~~ ~
9.~7
3 ~ / 2 l 9~
'1_otal Area of Walls U= f~=~.fC ~
~ R ~
Ori7E- & TWO-FAMILY RE51DEN7iAL DLTfLDJNG PRESC'RIPTry£ (COOIC-BOOK)
~rROncx
MAXIMUM WINDOW AND DOOR AAEA AS A PERCEIYT OF OVERALL WALL
AREA
PrQm Mlnn. lea part 7670 047~,~,{~p~rt 2, item F
Extarior Wlndow U•Faetor
Framin Ineulation Sheathin 0.49 0.36 0.31 p,27
STANDARD R-13 2, R- 7 13.44~0 ]7.8°!e 21.3% 24.3%
STANDARD R-13 R- 5 12.4% 16.4°k 19.7% 22,5q,
STRNDARD R-15 > IZ - 5 12.4% 17.1% 20.1% 23.4%
STANDARD R-18 -19 < R- 5 12.I9b 16.056 18.8% 22.p%
STANDARD R-18 _ig R- 5 1d.096 18.G~'o 21.8qo 25.39`0
ADVANCED R-18-19 < R- 5 12.9% I7.19'0 20.1% Z3,q~/a
ADVANCED R-18-19 > R- 5 14.S~e 19.296 22.5q, 2b.1%
STANDARD R-21 <[2 - 5 12.8% 17.0% 39.9% Z3,1%
STANDARD R-21 > R- 5 14.5% 19.3% 22.5% 26.]%
ADVAIVCEp R-21 < R- 5 13.6°6 18.1% 21.2% 24.6°/0
A[~VANCB~ R-21 R- 5 15.096 19.9% 23.29'0 26,g"/o
AS~lllOnai cslculated val ~Pa
STANDAItp R•17 < R- 5 11.9~ 15.79~, 18.4°k 2t.5°/a
STANDARb R-17 ~ R- 5 13.8% 18.470 21.5% 25.09'0
ADVANCL•D R-17 < R- 5 ]2.54~0 26.8% I9.63'0 22.99'0
ADVpNCED R-17 a R- 5 14.3°/v 19.0% 22,29'e 25.79'0
Notea:
Wtndow area equals rough opening minus ineta3lation clearances.
Window U-factor must br determined by either the Nationa! Fenestration Rating
Council standard 100-91, or ASFiRAE 1993 Handbook of Fundamentals, Chapter 27,
Table 5.
Po~btt' F~x Nole 7871 ~
rrae
wmo~
,
. -
r«.
~ tl,~C C~~ j
,
>
~a>
, d:;~M~..
, ~ . .~~:J
(SEE ATTACHMENTS)
Development ~lY~t ~IrCC ~1'e,~ f~
Lot Number ~ Block Numbar Z~
Address "l. ~ M~.C r~ ~
Builder Gw
Tree Protection Reauirements:
Tree Fencing
Oak Tree Pruning (Seal wounds during April 15 to July 1)
Therapeutlc Pruning
Retainfog Wall
Other:
Reelacement Trees:
Not Requlred
As Follows:
Attachments:
Yes
~ No
Additionai Notes:
Ep~~[d 9F0 QIVB~ION
~~Vi~l~
t
~ ~ 2~'~
~ 2422 Enlerprise Drive
* Mandota Heighls. MN 55120
*
,r * (812) 881-1814 FAX:681-9488
. * PION6~R ,,,ro . a.~ ~~w. _
0~1g flBBP Ae ~ ^i~^s. u"ou.R "~"hcn 625 HigFwoy 10 N.E.
* * Bloine, MN 55434
* i~ 'f , (612) 783-1880 FAX: 763-1883
Cert~ficate ot 5ur~ey for: MANLEY BROS. CONST.
4950 SYCAMORE DRIVE Cl1ENT-ERDMANJ
) ( ~ l"i~ .
LOT AREA =12,O1Zsq.lt . ,/~~aa \4.1~';~{ ..T'~~'~~~
HOUSE AftEA =2J95 sq fl i ~ ! I U
V
9 ~ ,.~4~
(VACANT) ~ , , _
~ y~i r - .
BENCH MARK \
TOP OF PIPE.` ` 1 .,_~,-p CDIO _~(,C~ ~,~j I
EIEV.=982.14 ` 1Y~ ~JO
I 13 I . t`~ 1.~ ~~5~ I
~ 3 ~q~q.v) ~~l8 '41'52"E 136.50
I - 978.9-- 977.3
~P AT~30.00 4 .83
979.6 81. -01 ~47C~.rj~
10 r ~
~ ei ' ~ ~ 10
i 9 6 < ~
p ~ 979.4 r 79.7 ja ~
'c'1 O ~-__'j~ _ Z6.S3 i 1~ ~ O
7 ~ i ~ oi~ ~ ~6 I ~
~ 983.3~ a o. ~ Z a'~'i
W
SERVICE 0~ I ~p~ \ i~ I
ELEV.=970.3 I i o 20.00 00 1. 0 i Q~ a~ ~ 3
n
~ ~ ~ PRQPOSED ~ \~,a=\~ ~ ow I ~
~ I 979.2 ~ Df7~VEWAY ~0 2.00 ~ \i o~ ~ i^• ~ p
~ ~ 7 5.17 ~ ~ ~
U i fq i N\i'~;,°3~ 1 I 823 x9 iJ ~ O
`k-
} o zs.sa m _ e ~ z
N Z ° oi .3 iN ~ 10
~ _
~ ° T
~i ~
/`C+L 98 TEL. 3O'00 49.83 983.62 982.0
ELEC. i S89'41'S2"W 136.50 . CR2o•c~
~^'u ~ ,3 cq~+,3) ' I-y) i~=~' P~.,~„ c~,,w.
~ ~ JI 3 I ' t ` 1~- S) Ao~,,~.n.~+~~kt~~tio_:.c) .
Til1 \
t~1-lL~~ I~f ..4N~~ ~ I,~J. ~ M~ry~~LwY ~ J
~i~2R,s~.P,~. ~ n~~^•e i~) ao„ ~
BE H MARK i (VACANT) 1 S~~ ~°`t ~
T OF P1PE
Ev.=984.23 ~~.:"c) g~ i5iiyy..~..t~.:.,~.:~....~..i.)
y'nlpol ~JNrc.(n cHr•.~}
C~ur~" v 0 t 5" r~r o~ c_., a)
w~ ~
~1.c0 .~O-ld) I 'L-...¢ .~jJ.+,-Q
NOfE' PRpPOSED GP~DES 9~O~M1 PEH GNAdNC PL PROPOSED HOU~E ELEVATION
NOTE: BUILDMC OIMENSIONS SHOYM AItE ~OF NdtIZpITN. IJ1~ VERTfAL IOCAlid1 ~OM,EST F100R ELEVATION: 9 7G.G
0~ S1N11C1UHE5 ONLY. SEE AR~HIIECN~I VL~NS fqt BULDING NID ~
rWwD~nor~ Dn~[ssia+s. TDP OF BLOCK ELE`/ATION: y s,'¢
N01E'. NO SPEQRC SqLS INVESTGRi~pl N~5 BEEN LOMFLEtEO OM iN~S LOi BT iHE
SUnvE~'aR. tHE 51NU9~lrtr O[ SqLS ip SUOPdiT TNE S~ECV~C NOUSE GARAGE $LAB ELE~APON:
vRacosEO 6 r+OT ME RESCwSie~uTx or n~E wrt~tra+. TOP OF BIOCK 6 L.O.: ~
nOtE: iHiS CERiRIL~TE OOES MOT PuNPdti i0 SNOw EASEMENTS OTMEH iHRN % ppp.pp pENO1E5 EIn51~xG ELEYAnCw
LHOSE SHONN ON lHE RELOROED MT. ( ppp,pp ) OENOTES P~OSEO ELE`/~naN
NO~E: CONTRRCTOR MUSi VEIM1~Y URIYEW~Y MSCN. ~ENOlES ORMN~CE /JIO Ui0.1TY EASEMENt
OE~1E5 DRAWRGE ROW MRECl10N
NOIE'. BERRINCS 910NN PRE BASEO OM AN ~SSUMEU U~T~1M p[Hp1E5 MpIUMENT
DENOiES 0«SEi NUB
WE HEREBY CEftTIfY TO MANLEY BROS. CONST. THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A
SURVEY OF THE BOUNOARIES OF:
LQT 8, BLOCK 2, PINETREE FOREST
~AKOTA COUNTY, MINNESOTA
~1 DOES NOT PURPORi TO SHOW IMPRO~EMENTS OR ENCHROACHMENTS. E%CEPT AS SHOWN. AS SURVEYED BY ME OR
UNOER MY DIRECT SUPERVISION THIS 5 DAY OF MARCH, 7999.
SI ED: iONEER ENGiNE ING. P.A.
SCA~E : 1 INCH = 30 FEET ~
n G Lorson. L.S. Req. No. 19ffi8
1968 98275.18 NJK
- 2422 Enterprise Drive
~c * ~ * Mendota Heights, MN 55120
* PIONEEI'~! LANp $URVEYORS • CIN~ ENWNEER$ ~B12) 681-1914 FAX:681-9486
* eng neer ng uND PIMlNEHS• LANDSCME ARCHITECTS 625 Highwoy 10 N.E.
Bloine, MN 55434
~ ~ * * . (s~2~ ~a3-~seo FAx: ~a3-~ea~
Certificate of Sur~ey for: MANLEY BROS. CONST.
4930 SYCAMORE DRIVE CLIENT-ERDMAN
LOT AREA =12,012sq.ft -
HOUSE AREA =2,195 sq ft
9 ~~=7~
(VACANT) ~
BENCH MARK ~ `
TOP OF PIPE ~
ELEV.=992J4 i,~ ~
~ ~rc~~ I
I 13 I . I
~ 3 14~9.a) ~+~gg•4 ' ° 136.50 I
LP ATV.30.00 49.83 978~97 977.3
979.6 K~ ~
9s,. =t- ~ (~+~c..5)
~o ,a
~ ~i 980.6 i`D a ~
~ 979.4 x 979.1 ~a ~
t'' ~ Y-~ _ - 26.33 ~ ~ ~ ~
/ ~ ~ i ~ ~ °o i / =a ~ ~
~ ~ 983.3jv o o;~o \oo ~ J W~- ~ ~
SERVICE O ~ ~~vwi ~ ~ ¢w I
ELEV.=970.3 0 20.00 °~~t.50 0~: z,~,, I
W 1__~ ` I ~ ° \ ' o° \o'^ ~a 3
O~ ~ PR~POSED ~ ~ a o Q~ 8jjf ow I ~
DR+VEWAY 2.00 Q~ o\\N ~ / ^.\I 0
~ 979.2 p
a ~ N\
c ~~o 3 ~
i 7 5.17 ' 9 8 2. 3 87.7 r ~
i I
V p ~ ~ o , . ~ o
r ~ 984.1 29.33 oi ------1 a, O
~ Z ~ oi 983.3 io ~ Z
~ 70 ~'n~ i~n J 10
~ _ _ _ _ - _ _ _ T ` _ - _ - _ ~
i~
u~
979.0 980.1 30.00 49.83 983.62 982.0
TEL.
ELEC. i S89'41'52"W 136.50 ~q2o~o~
~ ~3 (974~3) ;
3 ~ i ~ o~
i ' ~ ` i:, ~
~ 7 u ~~t i .
~ .
BENCH MARK i (VACANT) ~
TOP OF PIPE ~ ~ q
ELEV.=984.23 ~ ~
. . ~
~v ..~ry
- , r, i ~ u'
~ ;r{'7. i"~ :
~t~l! H ~ , . .
NOTE: PROPOSED GRAUES SHOWN PER GRADING PLAN 8Y: E.G RUD PROPOSED HOUSE ELEVATION
NOTE: BUILDING DIMENSIONS SHONN ARE FOR HOR120NTAL AND VERTICAL LOCATION
OF STRUCNRES ONI,Y. SEE ARCHITECNAL PlANS FOR BUILD~NG ANO LOWEST FLOOR ELEVATION: ~ •
FOUN~ATION DIMENSIONS. S
~ TOP OF BLOCK ELEVATION:
NOTE: ND SPECIFIC SOILS INVESTIGATION HAS BEEN COMPLETED ON THIS LOT BY THE
SURVEYOR. THE SUITABI~ITY OF SOILS TO SUPPDRT THE SPECIFIC NOUSE GARAGE SLAB ELEVATION:
PROGOSEO IS NOT THE RESPONSIBIIiTY OF THE SUftVEYOR.
TOP OF BLOCK ~ L.O.: 4 75
NOTE: THIS CERTIFICATE DOES NOT PURPORT TO SHOw EASEMENTS OTHER THAN % 000.00 DEN07E5 EXISTINC ELEVATION
MOSE SHOVM ON TNE RECORDED PIAT.
( 0~0.00 ) OENOTES PROPOSE~ ELEVATION
NOTE: CONTRACTOR MUST YERIFY ORIV[WAY DESIGN. DENOTES ORAINAGE ANO VTILITY EASEMENT
DENOTES DRnINACE FLOW OIkECTION
NOTE: BEARINGS SHOriN ARE BASED ON AN ASSVMED DANM ~ DENOTES MONUMENT
' DENOTES OFfSET NU8
WE HEREBY CERTIFY TO MANLEY BROS. CONST. THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A
SURVEY OF THE BOUNOARIES OF:
LOT 8, BLOCK 2, PINETREE FOREST
DAKOTA COUNTY, MINNESOTA
IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCHROACHMENTS, EXCEPT AS SHOWN, AS SURVEYED BY ME OR
UNDER MY DIRECT SUPERVISION THIS 5 DAY OF MARCH, 1999.
SI ED: IONEER ENGINE ING, P.A.
SCALE : 1 WCH = 30 FEET ~
1968 98275.18 NJK n C. Lorson, L.S. Reg. No. 79828
' LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDIN PERMIT APPLICATIO
PROPERTY IEGAL: ~~~y~_Z ~
DATE OF
SURVEY' 3~S~ 9/
m ~
~ m LATEST REVISION: ~
~Y N
.1]a ~
d U ~
~ a d DOCUMENT STANDARDS
n Q ~
Q Z ~
3~~ • Registered Land Surveyor signature and company
~j~ ? • BuildingPermdApplicant
~ o ? • Legaldescription
e~o o • Address
? ? ? • North arrow and scale
~n? • House type (remWer, walkout, spl'R w/o, spfR entry, lookout, etc.)
? • Directional drainage arrows with slopelgredient °.6
2~? ? • Proposed/ebsting sewer and water services & inveR elevation '
m~ ? a • Street name
c~? ? • Driveway
a~ ? ? • Lot Square Footage
a~ o a • Lot Caverege
ELEVATIONS
F~asona
~ o ? • Sewer service (or Proposed)
a~c ? • Property comers
• Top of curb at the driveway
c 2~0 • Elevations of any epsting adjacent homes
Prooased
~ ? ? • Garage floor
~ ? ? . Frst floor
~ ? ? • Lowest exposed elevation (walkouUwindow)
~ ? o • Properry comers
r~? o • Front and rear of home at the Toundation
PONDING AREA (if acdicablel
? a~o • Easement 6ne
? . NWL
a ~a . HWL
? r~p~ . Pond # designation
? ~ ? • Emergency Overflow Elevatlon
DIMENSIONS
~p ? • Lot IineslBearinge 8 ~mensions
d? ? • RighROf-way and street widlh (to back ot curb) •
m~ • Proposed home d~mensbns indu~ng any propased declcs, overhangs greater than 2', porches, etc.
(i.e. aA structurea requiring permanent footlngs)
~ o ? • Show all easements of record and any Ciry uhlifies within those easemen4s
rf o? • Setbacks of proposed sVucture and sideyard setback ot adjacent ebsting structures
? a~a • Retaining watl requirements, if any
Reviewed: ~ /
ame 1D
March 19BB
caNC~etoovaMr.~ .
CITY USE ONLY
LOT ~ BL ~ RECEIPT ~~O ~0 ~
SUBD r~~P~//~ RECEIPT DATE: ~~7~/~/
MECHANICAL PERMIT #
~
19991K~CEIa4ftIC~EL ~E€~M1~T ~f$~ESI~IEMfIa~L)
crrY o~ ~,~s,ax
S$SO ~ILOT KNO$ ftD
f~46RN MN 551 QE
~ s Q (651) 6$1-4675
Date: ~
Complete this section a~ if you are installing HVAC in a single family dwelling, townhome or condo under
consVUCtion and not owner /occupied.
• HVAC: 0-100 M B T U $ 30.00
ADDITIONAL 50 M BTU 6.00
cr,m o
• Gas oatlets (minimum of one required @$3.00 ea.) ~
State Surcharge .50
Total $ S
• g~'
Complete this section onlv if you are remodeling, adding to, or repairing an existing single family dwelling,
townhome, or condo. Please indicate if it is a new item, alteration, or repair.
X! New _ Alteration _ Repair _ Other
7~ Reminder.• Ca11681-4675forinspections.
_ Fumace _ Air conditioning
~ Air exchanger _ Other
$ 30.00
State Surchazge .SO
Minimum Total Due $ 30.50
SITE ADDRESS: ycj
~f~
.S /?~!!~,r~/Jlb/21..?' ~19
i
OWNERNAME: PHONEIl: ~r - `97rSV-z+--°
(AREA CODE)
INSTALLERNAME: ~ PHONE#: 5~~6 R~ ti'I ~
(AREA CODE)
STREET ADDRESS:
n
CITY: G1~/ STATE: ~ P: ~D
~ SIGN OF P E
CITY USE ONLY
L _ BL _ RECEIPT#:
SUBD. RECEIPT DATE:
APPROVED BY: , INSPEGTOR MECHAN{CAL PERMIT#:
i
1999 I~i~Ciii4NICi4L P~iiM1T [COMIH~C1i4L)
CITY 0~ ~4fiAN
S$SO i~1LOT KNOS ftD
~RHi4N, MN 551 E2
t651) 681-4675
Please comp{ete for:, all commercialiindustriai buildings
multi-family buildings when separate permits are not required for each dwelling unit
~~TE~ CCNTRi~~i PRICE:
WORK TYPE: _ NEW CONSTRUCTION INTERIOR IMPROVEMENT
DESCRIPTION OF WORK:
FEES: 1% of contract price OR $30.00 minimum fee, whichever is greater.
Processed piping - $30.00
CONTRACT PRICE x 1%
PROCESSED PIPING
PERMIT FEE
STATE SURCHARGE ($.50 per $1,000 of ne~tnit fee due on aI] permitsJ
TOTAL
SITE ADDRES~:
OWNER NAME: PHONE
(AREA CODE)
TENANT NAME (IMPROVEMENTS ONLl~:
INSTALLER:
ADDRESS: PHONE -
~ _ . (AREA CODE) ~ .
CITY: STAT'E: ZIP:
SIGNANRE OF PERMITTEE
CITY USE ONLY / C~ ~j
~ L ~ BL ~ RECEIPT / ~ /O`
SUBD. RECEIPT DATE: ~O
PERMIT# ~~~'~l ~
Y 999 ~LUMSINfi ~~tMIT (ft~SID~NTi~L)
C['CY OF EAIfib4N
S$SO ~ILOT KNOB itD
EAcfiAN, MN 5512E
(65l)6$1-4675
Please complete for: ? single family dwellings
> townhomes and condos when permits are required for each unit
: backflow preventer for underground sprinkler system
FIXTURES EACH TOTAL
Batn tub $ 3.00 x 2 = $ Ca, o0
Floor drain 3.00 x 1 = $ 3. ~
Gas i in outlet minimum - 1 3.00 x I = $ 3. Cao
Hot iub/s a 3.00 x = $
Kitchen sink 3.00 x = $ . ~
Laund tra 3.00 x = $ 3. c~o
Lavato 3.00 x = $ I 5, ov
Minimum fee alterations to existin dwellin 30.00 x = $
Private Dis osal S stem new/refurbished ' re uires MPC iic. 75.00 x = 5
Private Dis osal S stem abandonment 30.00 x = $
RPZ new installation/re air 30.00 x = $
nou-„ o e^in^ 1.50 x = 56
Shower 3.00 x = $ GY~
Under round s rinkler if dwellin is under construction 3.00 x = $
Under round s rinkler if existin dwellin 30.00 x = $
Water closet 3.00 x = $
Water heater 3.00 x = $
Water softener if dwelling under construction 5.00 X = $
Water softener if existin dwellin 30.00 x = ~
Water turnaround 30.00 x - $
State Surchar e .50 $ .50
7ota1 $ 53 ~ CO
Reminder: Call for inspections of alteretions, i.e. water heaters, water softeners, etc.
-
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applirable City of Eagan ordinances.
It is the applicanCS responsibility to notify the Droperty owner that the Ciry of Eagan"assumes no liability for any damages caused by the Ciry during its
normal operational and maintenance activities to the facilities construcled under this permit within City property/riqht-of-wayleasement.
srrea~oRess: ~q34 SyCamo« ~~~~e
OWNERNAME:: SQ~l (~lar.~ ~rd~ar~ TELEPHONE#:
(AREA CODE)
INSTALLER NAME: ~QX Ulll~lfl TELEPHONE Z' ~y7"~~ 37
STREET ADDRESS: `7 Adri
qn C I~2 S~ (AREA CODE)
CITY: ~rlOr LQ~ STATE: m1U ZIP: J~ J~3`7 Z
(Ylan ~p~ ~os . C°.ons~! ~.c-~ i'on -
~~l~X SIG ATUREOFPERMITTEE
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C.T.7Y OF EraGAt~
LA:ihITCF?: S T'I~C~M7:NAL M0~ 6i1
I~A7[e q3/30/a.`.3 TT.NiL:e 14e40e41
ILi ~
~!AME ~ NfANLEY ROS COPdS7
i'?i6 `.30C]i. 4`_?30 :;Y(':Ai''iGRE D 4 qf36:i.91
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Tot,~~ Rr~r_ei~~t Amn~~r~~;: 4~£3E•:3.31
CF710";470
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PERMIT
City of Eagan Permit Type: Building
3830 PILOT KNOB RD Permit Numher: EA034920
EAGAN, MN 55122 Date Issued: 03/30/1999
(651)681-4675
Site Address: 3S
O l C~
4930 SYCAMORE DR
Lot: 8 Block: 2 Addition: PINETREE FOREST
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Description:
~
Sub Type: Single Family UBC Occupancy R-3 ~„r,.
Work Type: New Cons7uction Type: V-N m~~„,x~,,.„
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Description: ~ " Zoning: Singla Family (I~esid~ntial)
Census Code: Square Feei
2157
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~egd]al']{S;- SBcW PLBR = SC:3ERER.gI;L'MBING, 612-447-6734
Fee Summary: Sewer&WaterPermitSuroharge 0.50
Account Deposit 30.00
Va7uation: $149;~34'~ Wat~iPermit 50.00
~ ~~r ~ ~ Sewer Permit 50.00
State Surcharge 74•~Z
City SAC 100.00
W ater Meter 5/8" 114.00
Treatment Plant 468.00
W ater Supply & Storage g2g.pp 3~6 s=s
Plan Review 827.94
SAC - Single Family Home 1,050.00
Contractor; - Aprll~~t - Owner: 54,863:91
MANLEY BROS CONST St. Lic.: MANLEY BROS CONST
10778 ALLISON WAY 10778 ALISON WAY
INVER GROVE HGTS, MN 550770000
~ 6124544933 INVER GROVE HTS MN 550'I7 651-454-4933
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I hcreby c wledge that I have read this application and state that the information is correct and agree to comply with all
applicabl Stat of M esota Statutes and City of Eagan Ordinances.
i 1
, Applicant/Permitee: Sig tu ed By: Signazure